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Who Should Use Retatrutide Individuals with severe obesity (BMI 40+) who need the greatest clinically achievable weight reduction and have struggled to reach their goal with other therapies Patients who plateaued on semaglutide or tirzepatide and are looking for a next-step option with a stronger metabolic effect People with obesity-related metabolic conditions such as type 2 diabetes, fatty liver disease, or metabolic syndrome who benefit from the added glucagon pathway's effect on liver fat and energy expenditure Individuals under specialist or obesity medicine physician care who have access to a prescriber experienced with newer peptide therapies Patients who prioritize outcome magnitude over accessibility and are prepared for a more intensive treatment protocol with close medical supervision Those who have not responded adequately to single-agonist GLP-1 therapy and require a multi-pathway approach to overcome hormonal resistance Who Should Use Semaglutide (Ozempic/Wegovy) Individuals beginning obesity pharmacotherapy for the first time who want an FDA-approved, well-studied first-line treatment Patients with a BMI of 2739 who need meaningful but moderate weight reduction and do not require maximum-intensity intervention People with type 2 diabetes seeking simultaneous glycemic control and weight loss semaglutide (Ozempic) has the strongest cardiovascular outcomes data of any GLP-1 agent Individuals who rely on insurance coverage Wegovy and Ozempic have broader formulary inclusion than newer agents like retatrutide Patients managed by primary care physicians or telehealth platforms where specialist access is not available Those who want a proven long-term safety profile semaglutide has years of post-market real-world data across millions of patients Feature Comparison Retatrutide Strengths 1

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Methodologies, limitations, and additional citations are also available in the full report

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